REGIONAL ANESTHESIA FOR
SURGEONS
PRESENTER-DR ASHOK PONNAM
GUIDE-COL VIPIN V NAIR

SCOPE OF PRESENTATION
• HISTORY
• LOCAL ANESTHECTICS
• BASICS PRINCIPLES
• LOWERLIMB BLOCKADE
• UPPERLIMB BLOCKADE
• HEAD & NECK BLOCKS
• THORACIC AND ABD WALL BLOCKS
• PERIANAL AND PENILE BLOCKS

INTRODUCTION
• DEFINITION
• TYPES
• ADVANTAGES
• CONTRAINDICATION

HISTORY
• 1844-HORACE WELLS
• 1846-WTG MORTON
• 1855-ALEXANDER WOOD
• 1860-NIEMANN
• 1884-KARL COLLER
• 1905-ALFRED EINHORN
• 1943-NILS LOFGREN

LOCAL ANESTHETICS
• CLASSIFICATION
• MECHANISIM OF ACTION
• ADMINISTRATION TECHNIQUES
• MODE OF ADMINISTRATION
• DOSAGE

INFILTRATION PRINCIPLES…
• INJECTING TECHNIQUE
• EPINEPHRINE ROLE
• SODABICARBONATE ROLE
• INFLAMMATION?
• EMLA
• LIPOSOMAL BUPIVACAINE

UPPER LIMB NERVE BLOCKS

BRACHIAL PLEXUS NERVE BLOCKS

INFRACLAVICULAR AND AXILLARY BLOCKS

NERVE BLOCKS AT ELBOW REGION

NERVE BLOCKS AT MID FOREARM & WRIST REGION

DERMATOMAL DISTRIBUTION OF WRIST BLOCKS

DIGITAL BLOCK

RING BLOCK & WING BLOCK

LOWER LIMB-FEMORAL NERVE BLOCK

SCIATIC NERVE BLOCK

POPLITEAL BLOCK

POPLITEAL BLOCK

ANKLE BLOCK

TRIGEMINAL NERVE BLOCKS

OCCIPITAL AND SCALP NERVE BLOCKS

BLOCKS AROUND EAR

CERVICAL PLEXUS BLOCK

CERVICAL PLEXUS BLOCK

SUMMARY OF HEAD AND NECK BLOCKS

BLOCKS OVER THORACIC REGION

PEC I,II &III BLOCKS

BLOCKS OVER ABDOMEN

INGUINAL BLOCK

PERIANAL BLOCKADE

PENILE BLOCK

THANK YOU